Introduction to Pharmacokinetics
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Questions and Answers

Which route of administration is preferred for drugs that are unstable in acidic pH?

  • Intravenous route (correct)
  • Inhalation route
  • Oral route
  • Topical route

What is a primary advantage of the intravenous route of drug administration?

  • Painless delivery
  • Faster action (correct)
  • Reduced drug degradation
  • Lower risk of infection

Which of the following is a disadvantage of intravenous drug administration?

  • Easier to monitor dosage
  • Minimal local inflammation
  • Faster onset of action
  • Requires professional assistance (correct)

When is the oral route of administration most commonly used?

<p>In nonemergency states (A)</p> Signup and view all the answers

What is the effect of ionization on a drug's ability to diffuse through a cell membrane?

<p>Ionized drugs lose lipid solubility and diffuse less easily. (C)</p> Signup and view all the answers

What occurs due to first pass metabolism when drugs are administered orally?

<p>Decreased potency of the drug (A)</p> Signup and view all the answers

Which drug type remains unionized in an acidic medium?

<p>Weakly acidic drugs (A)</p> Signup and view all the answers

How can the elimination of basic drugs be facilitated in cases of overdose?

<p>By making the urine acidic (D)</p> Signup and view all the answers

Which of the following groups of patients might require parenteral drug administration due to continuous vomiting?

<p>Unconscious or uncooperative patients (D)</p> Signup and view all the answers

Which advantage does the oral route of drug administration provide?

<p>Painless and easy to administer (D)</p> Signup and view all the answers

Why do drugs like corticosteroids remain unionized across various pH levels?

<p>They do not participate in ionization. (C)</p> Signup and view all the answers

What is a disadvantage of administering drugs via the intravenous route?

<p>Invasive procedure with infection risk (D)</p> Signup and view all the answers

Which of the following drugs is an example of a weakly basic drug?

<p>Morphine (C)</p> Signup and view all the answers

In which of the following conditions would weakly acidic drugs be ionized more?

<p>In a basic medium (B)</p> Signup and view all the answers

What happens to acidic drugs in an alkaline environment?

<p>They remain ionized and poorly absorbed. (B)</p> Signup and view all the answers

Which of the following can facilitate the elimination of acidic drugs during an overdose?

<p>Giving sodium bicarbonate (D)</p> Signup and view all the answers

What does pharmacokinetics primarily refer to?

<p>The concentration of drugs reaching systemic circulation. (D)</p> Signup and view all the answers

Why should Tab.Propranolol be taken with food?

<p>To enhance the absorption of the medication. (D)</p> Signup and view all the answers

What mainly influences the difference in dosage of Propranolol between oral and intravenous routes?

<p>The bioavailability and absorption rates of the drug. (C)</p> Signup and view all the answers

Which of the following factors is least likely to affect drug bioavailability?

<p>Patient's daily exercise routine. (B)</p> Signup and view all the answers

Which mechanisms primarily influence the movement of drugs across cell membranes?

<p>Passive diffusion and active transport. (B)</p> Signup and view all the answers

What is a primary difference between phase I and phase II drug metabolism?

<p>Phase I reactions modify drug structure, while phase II reactions usually involve conjugation. (B)</p> Signup and view all the answers

How does urine pH affect the excretion of drugs?

<p>Alkaline urine increases the excretion of hydrophilic drugs. (B)</p> Signup and view all the answers

In drug elimination, what unit is primarily used to express drug clearance?

<p>Liters per hour. (D)</p> Signup and view all the answers

Which drug is commonly used sublingually for quick absorption in emergency cases?

<p>Glyceryl trinitrate (A)</p> Signup and view all the answers

What is the primary advantage of intramuscular (I.M) drug administration over oral routes?

<p>The action is much faster than the oral route. (A)</p> Signup and view all the answers

What is the recommended angle for inserting a needle during subcutaneous (S.C) drug administration?

<p>45 degrees (A)</p> Signup and view all the answers

Which of the following muscle groups is NOT commonly used for intramuscular injections?

<p>Biceps brachii (C)</p> Signup and view all the answers

What can happen if proper precautions are not taken during intramuscular injections?

<p>Risk of nerve damage (C)</p> Signup and view all the answers

Which route of drug administration allows for the fastest onset of action?

<p>Intravenous (C)</p> Signup and view all the answers

What is a common site for subcutaneous drug administration?

<p>Abdomen (D)</p> Signup and view all the answers

Which of the following drugs is typically NOT administered sublingually?

<p>Insulin (C)</p> Signup and view all the answers

What is the primary method by which most drugs (70%) cross the cell membrane?

<p>Simple diffusion (A)</p> Signup and view all the answers

Which of the following statements is true regarding carrier-mediated transport of drugs?

<p>It is selective for specific drugs. (B)</p> Signup and view all the answers

In which part of the body are acidic drugs absorbed better?

<p>Stomach (B)</p> Signup and view all the answers

How does urine pH affect the excretion of drugs?

<p>Basic drugs are excreted faster in alkaline urine. (A)</p> Signup and view all the answers

Which characteristic of epithelial cells is significant for drug absorption?

<p>They have very tight junctions. (B)</p> Signup and view all the answers

What degree should be maintained for intradermal drug injection?

<p>10 - 15 degrees (A)</p> Signup and view all the answers

Which of the following veins is most commonly used for drug administration?

<p>Median antecubital vein (C)</p> Signup and view all the answers

What type of drug is more likely to be absorbed due to its ability to cross biological membranes?

<p>Nonpolar and un-ionized drugs (D)</p> Signup and view all the answers

Which transport process requires energy for drug movement across cell membranes?

<p>Active transport (C)</p> Signup and view all the answers

What characteristic do lipid insoluble drugs possess that affects their absorption?

<p>They are ionized and polar (D)</p> Signup and view all the answers

Which type of channel allows selective transport of water and ions without requiring energy?

<p>Aqueous channels (D)</p> Signup and view all the answers

What does drug absorption primarily involve?

<p>Movement from the site of administration to systemic circulation (A)</p> Signup and view all the answers

What is the main reason that intradermal drug administration is used?

<p>For hypersensitivity tests (D)</p> Signup and view all the answers

Flashcards

Ionization of Drugs

The process where an atom or molecule gains or loses electrons, acquiring a positive or negative charge.

Lipid Solubility of Ionized Drugs

Ionized drugs become less soluble in lipids, reducing their ability to pass through cell membranes.

Weakly Acidic Drugs

These drugs are more unionized (neutral) in acidic environments, leading to better absorption.

Weakly Basic Drugs

These drugs are more unionized in basic environments, better absorbed in alkaline conditions.

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pH and Drug Absorption

pH significantly affects how much and fast a drug is absorbed. This is influenced by ionization of drugs.

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Unionized Drug Absorption

Unionized drugs (no charge) are more easily absorbed through cell membranes.

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Ionized State Effect

Ionized drugs (charged molecules) are less soluble in lipids and absorbed less efficiently.

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Drug Ionization and pH

The pH of the environment influences whether a drug is ionized or not, impacting its absorption rate/amount.

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Drug Administration and pH

Adjusting the pH of the surrounding environment (such as urine) after drug administration can increase elimination of certain types of drugs.

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Intravenous drug administration

Drug delivery directly into a vein, providing rapid action and high bioavailability.

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Oral drug administration

Drug delivery through the mouth; common but slower than IV, subject to first-pass metabolism.

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First-pass metabolism

The breakdown of a drug by the liver before it reaches the bloodstream when administered orally.

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Emergency drug administration

Drug administration requiring rapid action, usually by intravenous routes.

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Patient condition factors

Factors like unconsciousness, vomiting, and emergency situations influencing drug administration routes.

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Drug instability

Certain drugs break down in specific environments (e.g., acidic stomach).

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Bioavailability

The fraction of a drug that reaches the systemic circulation intact.

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Large-molecular-weight drugs

Drugs with large sizes, which cannot be easily absorbed orally and should be administered via other routes.

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Irritant drugs

Drugs that cause irritation or discomfort when administered in specific areas.

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Dosage adjustments

Adjustments to the dosage of a drug are necessary for the proper and safe use of that drug.

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Oral Drug Administration

Drugs are swallowed and absorbed into the bloodstream through the small intestine.

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Sublingual Drug Administration

Drug is placed under the tongue and absorbed through the mucous membrane into the bloodstream.

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Intramuscular (IM) Injection

Drug is injected into a muscle.

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Subcutaneous (SC) Injection

Drug is injected into the fatty tissue just beneath the skin.

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Intravenous (IV) Injection

Drug is injected directly into a vein.

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Parenteral Routes

Routes of drug administration that involve injecting the drug into the body.

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Emergency Drug Administration

Sublingual or intravenous routes often used when quick response is needed.

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Absorption Rate (Drugs)

The speed at which a drug enters the bloodstream after administration.

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Pharmacokinetics

The study of how a drug moves through the body, including absorption, distribution, metabolism, and excretion.

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Drug concentration

The amount of a drug present in a specific area of the body.

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Dose

The amount of a drug given at one time

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Frequency

How often a drug is administered

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Route of administration

The way a drug enters the body.

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Oral route

Taking a drug through the mouth.

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Intravenous (IV) route

Injecting a drug directly into a vein.

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Bioavailability

The fraction of a drug that reaches the bloodstream in an active form

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Drug Metabolism

The process where the body changes a drug into a different form and is the transformation of a drug into a more water-soluble compound.

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Phase I reactions

Initial metabolic reactions that involve modifying the drug molecule, often by introducing or unmasking functional groups.

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Phase II reactions

Metabolic reactions that conjugate the drug molecule with a water-soluble substance, making it easier to excrete.

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Drug clearance

The rate at which a drug is removed from the body.

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Half-life (t½)

The time it takes for the concentration of a drug in the body to decrease by half.

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Drug Injection Angle (Intradermal)

A 10-15 degree angle is necessary when injecting a drug into the dermal layer.

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Common Vein for Drug Injection

The cubital fossa region in the elbow (median antecubital, cephalic, and basilic veins) is the most frequent choice.

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Drug Absorption

The movement of a drug from its administration site to the bloodstream, across a cell membrane.

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Drug Barriers

Cell membranes are major hurdles a drug must overcome to reach its target.

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Unionized Drug Absorption

Uncharged (nonpolar) drugs dissolve well in lipids and easily pass through cell membranes.

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Ionized Drug Absorption

Charged (polar) drugs are less soluble in lipids and less absorbed by membranes.

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Passive Drug Transport

Movement of a drug across a membrane without energy input.

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Active Drug Transport

Movement of a drug across a membrane requiring energy.

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Drug absorption processes?

Drug absorption involves different processes, including simple diffusion, carrier-mediated transport, and others in epithelial cells like those in the small intestine and kidneys.

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Simple diffusion (drug absorption)

A non-selective process where most drugs (approx. 70%) move from high to low concentration across cell membranes, requiring no energy.

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Carrier-mediated transport (drug absorption)

A selective process using protein carriers to move specific drugs across cell membranes. This process may require energy.

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pH and drug absorption

The pH of the environment affects drug absorption by influencing drug ionization. Acidic drugs absorb better in acidic environments, and basic drugs in basic environments.

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Drug ionization

Drugs can exist in an ionized (charged) or unionized (uncharged) state depending on the pH of the surrounding environment.

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Epithelial cells and tight junctions

Tight junctions in epithelial cells (e.g. those in the small intestine) control how easily molecules like drugs can cross the layer.

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Drug absorption factors

Drug absorption depends on the drug's characteristics (e.g. simple diffusion, carrier-mediated), the environment (like pH), and the location where it is administered.

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Study Notes

Introduction to Pharmacokinatics

  • Pharmacokinatics is the study of how the body processes drugs.
  • It involves the movement of drugs within the body, including absorption, distribution, metabolism, and excretion (ADME).
  • Pharmacodynamics is the study of how drugs affect the body.

Principles of Pharmacokinatics

  • Drugs are administered differently because of pharmacokinetics.
  • Digoxin is a drug used to treat heart failure. It works best when administered once daily.
  • Paracetamol is used to treat fever and is commonly used 3-4 times per day to control temperature.
  • Insulin is used to treat diabetes; not administered orally.

Learning Objectives

  • Define pharmacokinetics.
  • Describe the mechanisms causing drug movement in the body.
  • Explain how small drug molecules cross cell membranes.
  • Outline drug routes of administration and bioavailability.
  • Explain drug metabolism (phase I and phase II).
  • Describe drug elimination via the kidneys.
  • Describe drug clearance and half-life.
  • Describe differences in single and multiple drug administration
  • Understand steady-state plasma concentrations, and zero and first-order kinetics.

Routes of Drug Administration

  • Oral: Drug absorbed from the GI tract
  • Inhalation: Drug absorbed through the lungs.
  • Topical: Drug absorbed through the skin.
  • Rectal: Drug absorbed through the rectum.
  • Parenteral: Bypassing the GI tract (e.g., injection).

Factors Affecting Drug Absorption

  • Drug factors: lipid solubility, pH, degree of ionization, and pharmaceutical dosage form
  • Patient factors: vascularity, surface area, functional integrity of absorbing surfaces, diseases
  • Bioavailability: the fraction of a dose of a drug absorbed from its site of administration and reaches the systemic circulation unchanged.
  • A drug given intravenously (IV) has a bioavailability of 100%, while drugs given by other routes (e.g., oral) have a bioavailability of less than 100%.
  • Bioavailability depends on first-pass metabolism.
  • The way a drug is administered affects how fast its effects will be seen

Drug Absorption

  • Drug absorption describes the manner in which drugs cross cell membranes.
  • Ionized drugs have a reduced rate of absorption.
  • The rate of absorption affects the magnitude of the therapeutic effect in the body.

Drug Distribution & its Pattern

  • Drugs are distributed throughout the body via the vascular system.
  • Drugs distribute relatively evenly in body water.
  • Some drugs are concentrated in certain tissues or organs (e.g., iodine concentrated in thyroid tissue).

Plasma Protein Binding

  • Acidic drugs bind to albumin.
  • Basic drugs bind to acid glycoprotein.
  • Drug displacement interactions can change plasma binding and alter drug effects.

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Description

This quiz covers the fundamental concepts of pharmacokinetics, including drug movement, mechanisms of absorption, distribution, metabolism, and excretion (ADME). You'll also learn about various drug administration routes and how drugs affect the body. Perfect for students looking to deepen their understanding of how drugs interact within biological systems.

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